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NOTE: PULL ALL"r-1ERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004791 <br /> DATE RECEIVED by EHD: January 18,2005 APPL#: PA-05-08(PA) Pre-Application <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, Januaryaa) 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14844 S STATE ROUTE 99 E FRONTAGE RD, APN : 19710008 <br /> MAN I EUA <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Kll2�laS /Zz4/c2;d <br /> 101 Z�J z> ,ce76?--1 <br /> ,4lz.-1eU6l1 lb c�,12 b 3 <br /> '5�- z-a?cfr �s: res lfr0 �� <br /> 37j . <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> rr <br /> o C) �- <br /> C' <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 3 <br /> OA 11 Check Off List; Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 9 January 21,2005 <br />